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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Hospitalizations before and after initiation of chronic hemodialysis
Hemodialysis International, Volume 15, No. 3, Year 2011
Notification
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Description
Hospitalization rate is high in patients on chronic hemodialysis (HD). We investigated whether initiation of HD changes the rate and length of hospitalization. We analyzed hospitalizations in HD patients in one hospital over 15 years. We compared annual rate and length of hospitalizations, both presented as mean (95% confidence interval [CI]) between the pre-HD and HD period. Three hundred ninety-two patients, 98% men, 59% diabetic, and 66.3 ± 11.2 years old at the onset of HD, had 1016 hospitalizations in the pre-HD period (60.0 ± 42.9 months) and 1627 hospitalizations in the HD period (32.5 ± 25.9 months). Higher values were found in the HD than the pre-HD period for rate, (pre-HD 0.557 [95% CI 0.473-0.611], HD 2.198 [95% CI 1.997-2.399] admissions/[patient-year], P<0.001) and length (pre-HD 4.63 [95% CI 3.71-5.55], HD 28.07 [95% CI 23.55-32.59] days/patient-year], P<0.001) of hospitalizations for all causes, cardiac disease, infections, vascular access, peripheral vascular disease, metabolic disturbances, gastrointestinal diseases, and miscellaneous conditions, mainly respiratory illness and malignancy. Similar differences were found when we compared the year before and the year after the start of HD. Diabetics had higher all cause rate and length of hospitalizations than non-diabetics in the pre-HD and HD periods. The rate and length of hospitalizations was higher in the HD than the pre-HD period for both HD-specific conditions and conditions encountered in both HD and general populations. Study of factors specific to HD that may affect these conditions should constitute the first step toward improving the morbidity of patients on HD. © 2011 The Authors. Hemodialysis International © 2011 International Society for Hemodialysis.
Authors & Co-Authors
Kassam, Hussein A.
United States, Albuquerque
Unm School of Medicine
Sun, Yijuan
United States, Albuquerque
Albuquerque Veterans Administration Medical Center
United States, Albuquerque
Unm School of Medicine
Adeniyi, Muniru
United States, Albuquerque
Albuquerque Veterans Administration Medical Center
United States, Albuquerque
Unm School of Medicine
Agaba, Emmanuel Idoko
Nigeria, Jos
University of Jos
Martinez, Milagros
United States, Albuquerque
Albuquerque Veterans Administration Medical Center
United States, Albuquerque
Unm School of Medicine
Servilla, Karen S.
United States, Albuquerque
Albuquerque Veterans Administration Medical Center
United States, Albuquerque
Unm School of Medicine
Raj, Dominic S.C.
United States, Washington, D.c.
The George Washington University
Murata, Glen H.
United States, Albuquerque
Albuquerque Veterans Administration Medical Center
United States, Albuquerque
Unm School of Medicine
Tzamaloukas, Antonios Helias
United States, Albuquerque
Albuquerque Veterans Administration Medical Center
United States, Albuquerque
Unm School of Medicine
Statistics
Citations: 11
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1111/j.1542-4758.2011.00551.x
ISSN:
14927535
e-ISSN:
15424758
Research Areas
Health System And Policy
Noncommunicable Diseases
Participants Gender
Male